<?xml version='1.0' encoding='utf-8'?>
<subtitle article="gho" title_number="14" subtitle_number="5F" title_name="Physicians" subtitle_name="Naturopathic Doctors">
  <section article="gho" article_name="Health Occupations" number="14-5F-01" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>In this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Approved naturopathic medical program” means a naturopathic medical education program:</text>
      <level label="1">
        <text>In the United States that:</text>
        <level label="i">
          <text>Provides the degree of Doctor of Naturopathy or Doctor of Naturopathic Medicine;</text>
        </level>
        <level label="ii">
          <text>Offers a 4–year graduate–level, full–time didactic and supervised clinical training;</text>
        </level>
        <level label="iii">
          <text>Is accredited, or has achieved candidacy status for accreditation, by the Council on Naturopathic Medical Education or an equivalent federally and Board–recognized accrediting body for naturopathic medical programs; and</text>
        </level>
        <level label="iv">
          <text>Is part of an institution of higher education that is either accredited, or is a candidate for accreditation, by a regional or national institutional accrediting agency recognized by the United States Secretary of Education; or</text>
        </level>
      </level>
      <level label="2">
        <text>In a diploma–granting, degree–equivalent college or university in Canada that:</text>
        <level label="i">
          <text>Offers graduate–level, full–time didactic and supervised clinical training;</text>
        </level>
        <level label="ii">
          <text>Is accredited, or has achieved candidacy status for accreditation, by the Council on Naturopathic Medical Education or an equivalent federally and Board–recognized accrediting body for naturopathic medical programs; and</text>
        </level>
        <level label="iii">
          <text>Has provincial approval for participation in government–funded student aid programs.</text>
        </level>
      </level>
    </level>
    <level label="c">
      <text>“Board” means the State Board of Physicians.</text>
    </level>
    <level label="d">
      <text>“Committee” means the Naturopathic Medicine Advisory Committee.</text>
    </level>
    <level label="e">
      <text>“Council” means the Naturopathic Doctors Formulary Council.</text>
    </level>
    <level label="f">
      <level label="1">
        <text>“Device” means a device used in the diagnosis, treatment, or prevention of disease.</text>
      </level>
      <level label="2">
        <text>“Device” does not include:</text>
        <level label="i">
          <text>Any surgical or dental instrument;</text>
        </level>
        <level label="ii">
          <text>Any physical therapy equipment;</text>
        </level>
        <level label="iii">
          <text>Any X–ray apparatus; or</text>
        </level>
        <level label="iv">
          <text>Any component part or accessory of any of the items listed in items (i) through (iii) of this paragraph.</text>
        </level>
      </level>
    </level>
    <level label="g">
      <text>“Emergency use epinephrine” means a portable, disposable drug delivery device or product approved by the federal Food and Drug Administration that contains a premeasured single dose of epinephrine that is used to treat anaphylaxis in an emergency situation.</text>
    </level>
    <level label="h">
      <text>“Formulary” means a list of drugs and devices developed and adopted in accordance with § 14–5F–04.1 of this subtitle.</text>
    </level>
    <level label="i">
      <text>“Licensed naturopathic doctor” means a naturopathic doctor who is licensed to practice naturopathic medicine.</text>
    </level>
    <level label="j">
      <text>“Naturopathic doctor” means an individual who practices naturopathic medicine.</text>
    </level>
    <level label="k">
      <level label="1">
        <text>“Naturopathic medicine” means the prevention, diagnosis, and treatment of human health conditions, injury, and disease using only patient education and naturopathic therapies and therapeutic substances recognized by the Council of Naturopathic Medical Education.</text>
      </level>
      <level label="2">
        <text>“Naturopathic medicine” includes:</text>
        <level label="i">
          <text>Counseling;</text>
        </level>
        <level label="ii">
          <text>The practice of the mechanical sciences of healing, including mechanotherapy, articular manipulation, corrective and orthopedic gymnastics, hydrotherapy, electrotherapy, and phototherapy;</text>
        </level>
        <level label="iii">
          <text>The practice of the material sciences of healing, including nutrition, phytotherapy, treatment by natural substances, and external applications; and</text>
        </level>
        <level label="iv">
          <text>Prescribing, dispensing, or administering nonprescription and prescription drugs and devices listed in the formulary.</text>
        </level>
      </level>
    </level>
    <level label="l">
      <text>“Naturopathic musculoskeletal mobilization” means the treatment by manual and other mechanical means of all body tissues exclusive of high–velocity thrusts at or beyond the end range of normal joint motion.</text>
    </level>
    <level label="m">
      <text>“Nonprescription drug” means a drug that:</text>
      <level label="1">
        <text>May be sold without a prescription; and</text>
      </level>
      <level label="2">
        <text>Is labeled for use by a consumer in accordance with State and federal law.</text>
      </level>
    </level>
    <level label="n">
      <text>“Prescription drug” means any drug defined in § 503(b) of the federal Food, Drug, and Cosmetic Act if the drug’s label is required to bear the statement “Rx only”.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-02" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>The purposes of this subtitle are to:</text>
    <level label="1">
      <text>Protect the health, safety, and welfare of the public, and specifically protect individuals who are the direct recipients of services regulated by this subtitle;</text>
    </level>
    <level label="2">
      <text>Maintain standards in the delivery of naturopathic medical services to the public;</text>
    </level>
    <level label="3">
      <text>Ensure that the health care provided by qualified naturopathic doctors is accessible and available to the residents of the State; and</text>
    </level>
    <level label="4">
      <text>Provide a means of identifying qualified naturopathic doctors in the State.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-03" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>This subtitle does not limit the right of:</text>
    <level label="1">
      <text>An individual to practice a health occupation that the individual is authorized to practice under this article;</text>
    </level>
    <level label="2">
      <text>An individual from treating the individual or the individual’s family based on the individual’s religious or health beliefs; or</text>
    </level>
    <level label="3">
      <text>A person that sells vitamins and herbs from providing information about the person’s products.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-04" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>The Board shall adopt regulations for the licensure and practice of naturopathic medicine.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-04.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>There is a Naturopathic Doctors Formulary Council within the Board.</text>
      </level>
      <level label="2">
        <text>The Council consists of the following members:</text>
        <level label="i">
          <text>The Deputy Secretary of Public Health Services, or the Deputy Secretary’s designee; and</text>
        </level>
        <level label="ii">
          <text>The following members, appointed by the Board:</text>
          <level label="1">
            <text>Two individuals who:</text>
          </level>
          <level label="A">
            <text>Practice naturopathic medicine in the State;</text>
          </level>
          <level label="B">
            <text>Are certified by the North American Board of Naturopathic Examiners;</text>
          </level>
          <level label="C">
            <text>Have a minimum of 2 years experience; and</text>
          </level>
          <level label="D">
            <text>Are licensed naturopathic doctors;</text>
          </level>
          <level label="2">
            <text>Two licensed physicians who practice in the State;</text>
          </level>
          <level label="3">
            <text>One pharmacist who has a background in pharmacognosy and who practices in the State; and</text>
          </level>
          <level label="4">
            <text>One consumer.</text>
          </level>
        </level>
      </level>
      <level label="3">
        <level label="i">
          <text>The term of an appointed member is 4 years.</text>
        </level>
        <level label="ii">
          <text>At the end of a term, an appointed member continues to serve until a successor is appointed.</text>
        </level>
      </level>
      <level label="4">
        <text>A member of the Council:</text>
        <level label="i">
          <text>May not receive compensation as a member of the Council; but</text>
        </level>
        <level label="ii">
          <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
        </level>
      </level>
      <level label="5">
        <text>The Board shall designate the chair of the Council.</text>
      </level>
      <level label="6">
        <text>The Board shall provide staff for the Council.</text>
      </level>
    </level>
    <level label="b">
      <text>The Council shall:</text>
      <level label="1">
        <text>Develop and recommend to the Board a formulary for use by licensed naturopathic doctors;</text>
      </level>
      <level label="2">
        <text>Annually review the formulary adopted by the Board under subsection (c) of this section to determine if any changes are necessary for compliance with current prescribing standards or the practice of naturopathic medicine;</text>
      </level>
      <level label="3">
        <text>Otherwise review the formulary at the direction of the Board; and</text>
      </level>
      <level label="4">
        <text>Make recommendations to the Board based on the reviews conducted under items (2) and (3) of this subsection.</text>
      </level>
    </level>
    <level label="c">
      <level label="1">
        <text>The Board shall adopt a formulary based on the recommendations of the Council made under subsection (b) of this section.</text>
      </level>
      <level label="2">
        <text>The Board may modify or reject any recommendation of the Council regarding the formulary.</text>
      </level>
    </level>
    <level label="d">
      <level label="1">
        <text>The formulary adopted by the Board shall include:</text>
        <level label="i">
          <text>Nonprescription drugs and devices;</text>
        </level>
        <level label="ii">
          <text>Prescription oxygen and emergency use epinephrine; and</text>
        </level>
        <level label="iii">
          <text>Prescription diaphragms and cervical caps for contraception.</text>
        </level>
      </level>
      <level label="2">
        <text>The formulary may not include:</text>
        <level label="i">
          <text>Except as provided in paragraph (1)(ii) and (iii) of this subsection, prescription drugs or devices; or</text>
        </level>
        <level label="ii">
          <text>Controlled substances.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-05" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>The Board shall set reasonable fees for the issuance and renewal of licenses and the other services the Board provides to naturopathic doctors.</text>
      </level>
      <level label="2">
        <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the licensure program and the other services provided to naturopathic doctors.</text>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>The Board shall pay all fees collected under the provisions of this subtitle to the Comptroller.</text>
      </level>
      <level label="2">
        <text>The Comptroller shall distribute all fees to the Board established under § 14–201 of this title.</text>
      </level>
    </level>
    <level label="c">
      <text>The fees shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this subtitle.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-06" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>There is a Naturopathic Medicine Advisory Committee within the Board.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-07" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>The Committee consists of five members appointed by the Board as follows:</text>
        <level label="i">
          <text>Two shall be licensed naturopathic doctors;</text>
        </level>
        <level label="ii">
          <text>One shall be a licensed physician;</text>
        </level>
        <level label="iii">
          <text>One shall be a licensed physician with experience working with naturopathic doctors; and</text>
        </level>
        <level label="iv">
          <text>One shall be a consumer member.</text>
        </level>
      </level>
      <level label="2">
        <text>The Board shall appoint the naturopathic doctor members from a list of names submitted by the Maryland Association of Naturopathic Physicians.</text>
      </level>
    </level>
    <level label="b">
      <text>Each member of the Committee licensed by the Board must be in good standing with the Board.</text>
    </level>
    <level label="c">
      <text>The consumer member of the Committee:</text>
      <level label="1">
        <text>Must be a member of the general public;</text>
      </level>
      <level label="2">
        <text>May not be or ever have been:</text>
        <level label="i">
          <text>A licensed naturopathic doctor;</text>
        </level>
        <level label="ii">
          <text>Any other health care professional; or</text>
        </level>
        <level label="iii">
          <text>In training to be a naturopathic doctor or other health professional; and</text>
        </level>
      </level>
      <level label="3">
        <text>May not:</text>
        <level label="i">
          <text>Participate or ever have participated in a commercial or professional field related to naturopathic medicine;</text>
        </level>
        <level label="ii">
          <text>Have a household member who participates in a commercial or professional field related to naturopathic medicine;</text>
        </level>
        <level label="iii">
          <text>Have had within 2 years before appointment a financial interest in a person regulated by the Board; or</text>
        </level>
        <level label="iv">
          <text>Have had within 2 years before appointment a financial interest in the provision of goods or services to naturopathic doctors or to the field of naturopathic medicine.</text>
        </level>
      </level>
    </level>
    <level label="d">
      <text>Each member of the Committee must be a resident of the State.</text>
    </level>
    <level label="e">
      <level label="1">
        <text>The term of a member is 3 years.</text>
      </level>
      <level label="2">
        <text>The terms of members are staggered as required by regulation.</text>
      </level>
      <level label="3">
        <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text>
      </level>
      <level label="4">
        <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text>
      </level>
      <level label="5">
        <text>A member may not serve more than two consecutive full terms.</text>
      </level>
    </level>
    <level label="f">
      <text>From among its members, the Committee shall elect a chair every 2 years.</text>
    </level>
    <level label="g">
      <text>A quorum of the Committee consists of three members.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-08" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>In addition to the powers set forth elsewhere in this subtitle, the Committee:</text>
    <level label="1">
      <text>Shall:</text>
      <level label="i">
        <text>Develop and recommend to the Board:</text>
        <level label="1">
          <text>Regulations to carry out this subtitle; and</text>
        </level>
        <level label="2">
          <text>Any statutory changes that affect the profession; and</text>
        </level>
      </level>
      <level label="ii">
        <text>Keep a record of its meetings; and</text>
      </level>
    </level>
    <level label="2">
      <text>May:</text>
      <level label="i">
        <text>Provide recommendations regarding the practice of naturopathic medicine; and</text>
      </level>
      <level label="ii">
        <text>Advise the Board on any other matters related to naturopathic doctors.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-09" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>A person shall have the immunity from liability described under § 5–715 of the Courts and Judicial Proceedings Article for giving information to the Committee or otherwise participating in its activities.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-10" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Except as otherwise provided in this subtitle or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice naturopathic medicine in the State.</text>
    </level>
    <level label="b">
      <text>This section does not apply to:</text>
      <level label="1">
        <text>A naturopathic doctor who is employed in the service of the federal government while practicing within the scope of the employment;</text>
      </level>
      <level label="2">
        <text>A student who is enrolled in an approved naturopathic medical program while the student is participating in a course of study under the supervision of a licensed naturopathic doctor or a licensed professional in the field of study;</text>
      </level>
      <level label="3">
        <text>An individual who is licensed in another state to practice naturopathic medicine and whose practice of naturopathic medicine in the State is limited to examination, recommendation, or testimony in litigation; or</text>
      </level>
      <level label="4">
        <text>A naturopathic doctor licensed by and residing in another jurisdiction, if the naturopathic doctor is engaged in consultation with the naturopathic doctor in the State about a particular patient and does not direct patient care.</text>
      </level>
    </level>
    <level label="c">
      <text>The Board may not discriminate, in any manner, against any applicant or licensee for reason of sex, age, race, color, creed, sexual orientation, gender identity, disability, or national origin.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-11" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text>
    </level>
    <level label="b">
      <text>The applicant shall be of good moral character.</text>
    </level>
    <level label="c">
      <text>The applicant shall be at least 21 years old.</text>
    </level>
    <level label="d">
      <text>Except as provided in § 14–5F–12 of this subtitle, the applicant shall:</text>
      <level label="1">
        <text>Have a doctorate in naturopathic medicine from an approved naturopathic medical program; and</text>
      </level>
      <level label="2">
        <text>Pass  the competency–based national naturopathic licensing examination Part I and Part II administered by the North American Board of Naturopathic Examiners, or its successor agency that has been nationally recognized to administer a naturopathic examination that represents federal standards of education and training.</text>
      </level>
    </level>
    <level label="e">
      <text>An applicant shall be physically and mentally capable of safely practicing naturopathic medicine with or without reasonable accommodation.</text>
    </level>
    <level label="f">
      <text>If an applicant is licensed, certified, or registered to practice naturopathic medicine or any other health occupation in another state, the applicant shall be in good standing with the applicable state licensing, certification, or registration authority.</text>
    </level>
    <level label="g">
      <text>An applicant shall complete a criminal history records check in accordance with § 14–308.1 of this title.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-12" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>To apply for a license, an applicant shall:</text>
    <level label="1">
      <text>Complete a criminal history records check in accordance with § 14–308.1 of this title;</text>
    </level>
    <level label="2">
      <text>Submit an application to the Board on a form that the Board requires;</text>
    </level>
    <level label="3">
      <text>Pay to the Board an application fee set by the Board; and</text>
    </level>
    <level label="4">
      <text>If the applicant has been licensed, certified, or registered to practice naturopathic medicine in another state, submit all evidence relating to:</text>
      <level label="i">
        <text>Any disciplinary action taken or any administrative penalties assessed against the applicant by the appropriate state licensing, certification, or registration authority; and</text>
      </level>
      <level label="ii">
        <text>Any consent agreements the applicant entered into that contain conditions placed on the applicant’s professional conduct and practice, including any voluntary surrender of a license.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-12.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>To practice naturopathic medicine in the State, a naturopathic doctor shall maintain at all times a collaboration and consultation agreement with a physician licensed in the State.</text>
    </level>
    <level label="b">
      <text>Before an individual may practice naturopathic medicine in the State, the individual shall:</text>
      <level label="1">
        <text>Obtain a license under this subtitle;</text>
      </level>
      <level label="2">
        <text>Enter into a collaboration and consultation agreement with a physician licensed in the State; and</text>
      </level>
      <level label="3">
        <text>Attest to the completion of the collaboration and consultation agreement on a form provided by the Board.</text>
      </level>
    </level>
    <level label="c">
      <text>A collaboration and consultation agreement shall:</text>
      <level label="1">
        <text>State that the applicant has a collaboration and consultation agreement with a physician licensed in the State;</text>
      </level>
      <level label="2">
        <text>Include the name and license number of the physician with whom the applicant has a collaboration and consultation agreement;</text>
      </level>
      <level label="3">
        <text>State that the applicant will refer patients to and consult with physicians and other health care providers licensed or certified under this article as needed; and</text>
      </level>
      <level label="4">
        <text>States that the applicant will require patients to sign a consent form that states that the applicant’s practice of naturopathic medicine is limited to the scope of practice established in § 14–5F–14 of this subtitle.</text>
      </level>
    </level>
    <level label="d">
      <text>A naturopathic doctor shall inform the physician named in the collaboration and consultation agreement that the physician has been named.</text>
    </level>
    <level label="e">
      <text>Subject to the notice required under § 14–5F–12.2 of this subtitle, a naturopathic doctor and a licensed physician may terminate a collaboration and consultation agreement at any time.</text>
    </level>
    <level label="f">
      <text>In the event of the sudden departure, incapacity, or death of the named licensed physician or change in license status that results in the named licensed physician being unable to practice medicine, the naturopathic doctor may not practice in the State until the naturopathic doctor enters into a new collaboration and consultation agreement.</text>
    </level>
    <level label="g">
      <text>A naturopathic doctor whose collaboration and consultation agreement is terminated may not practice naturopathic medicine in the State.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-12.2" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>A physician or an employer shall notify the Board within 10 days after the termination of a naturopathic doctor for reasons that would be grounds for discipline under this subtitle.</text>
    </level>
    <level label="b">
      <text>A physician named in a collaboration and consultation agreement with a naturopathic doctor and a naturopathic doctor shall notify the Board within 10 days after the termination of a collaboration and consultation agreement.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-13" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Subject to subsection (b) of this section, the Board shall issue a license to any applicant who meets the requirements of this subtitle.</text>
    </level>
    <level label="b">
      <level label="1">
        <text>On receipt of the criminal history record information of an applicant for licensure forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether to issue a license, the Board shall consider:</text>
        <level label="i">
          <text>The age at which the crime was committed;</text>
        </level>
        <level label="ii">
          <text>The nature of the crime;</text>
        </level>
        <level label="iii">
          <text>The circumstances surrounding the crime;</text>
        </level>
        <level label="iv">
          <text>The length of time that has passed since the crime;</text>
        </level>
        <level label="v">
          <text>Subsequent work history;</text>
        </level>
        <level label="vi">
          <text>Employment and character references; and</text>
        </level>
        <level label="vii">
          <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text>
        </level>
      </level>
      <level label="2">
        <text>The Board may not issue a license if the criminal history record information required under § 14–308.1 of this title has not been received.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-14" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>A license authorizes a licensee, consistent with naturopathic education and training and competence demonstrated by passing the naturopathic physician licensing examination, to:</text>
      <level label="1">
        <text>Order and perform physical and laboratory examinations for diagnostic purposes, including phlebotomy, clinical laboratory tests, orificial examinations, electrocardiograms with over read by a cardiologist, and physiological function tests;</text>
      </level>
      <level label="2">
        <text>Order diagnostic imaging studies and interpret the reports of diagnostic imaging studies;</text>
      </level>
      <level label="3">
        <text>Dispense or order natural medicines of mineral, animal, or botanical origin, including food, extracts of food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals and their extracts, botanical medicines, homeopathic medicines, and all dietary supplements and nonprescription drugs listed in the formulary that use various routes of administration, including oral, nasal, auricular, ocular, rectal, vaginal, transdermal, and intramuscular;</text>
      </level>
      <level label="4">
        <text>Administer natural medicines of mineral, animal, or botanical origin, including food, extracts of food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals and their extracts, botanical medicines, homeopathic medicines, and all dietary supplements and nonprescription drugs listed in the formulary using various routes of administration, including oral, nasal, auricular, ocular, rectal, vaginal, and transdermal;</text>
      </level>
      <level label="5">
        <text>Administer emergency use epinephrine;</text>
      </level>
      <level label="6">
        <text>Administer or perform hot or cold hydrotherapy, naturopathic physical medicine, electromagnetic energy, and therapeutic exercise for the purpose of providing basic therapeutic care services, except that if a referral to another licensed provider is appropriate for ongoing rehabilitation or habilitation services, the naturopathic doctor shall make the referral;</text>
      </level>
      <level label="7">
        <text>Provide health education and health counseling; and</text>
      </level>
      <level label="8">
        <text>Perform naturopathic musculoskeletal mobilization.</text>
      </level>
    </level>
    <level label="b">
      <text>A license does not authorize a licensee to:</text>
      <level label="1">
        <text>Except for a prescription drug or device included in the formulary under § 14–5F–04.1(d)(1)(ii) or (iii) of this subtitle, prescribe, dispense, or administer any prescription drug or device;</text>
      </level>
      <level label="2">
        <text>Perform surgical procedures;</text>
      </level>
      <level label="3">
        <text>Practice or claim to practice as a medical doctor or physician, an osteopath, a dentist, a podiatrist, an optometrist, a psychologist, a nurse practitioner, a physician assistant, a chiropractor, a physical therapist, an acupuncturist, or any other health care professional unless licensed under this article;</text>
      </level>
      <level label="4">
        <text>Use general or spinal anesthetics;</text>
      </level>
      <level label="5">
        <text>Administer ionizing radioactive substances for therapeutic purposes;</text>
      </level>
      <level label="6">
        <text>Perform chiropractic adjustments or manipulations that include high–velocity thrusts at or beyond the end range of normal joint motion unless the licensee is also a licensed chiropractor;</text>
      </level>
      <level label="7">
        <text>Perform acupuncture unless the licensee is also a licensed acupuncturist; or</text>
      </level>
      <level label="8">
        <text>Prescribe, dispense, or administer any prescription or nonprescription drug or device listed in the formulary for cosmetic purposes.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-15" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>The term of a license issued by the Board may not exceed 3 years.</text>
      </level>
      <level label="2">
        <text>A license expires on a date set by the Board, unless the license is renewed as provided in this section.</text>
      </level>
    </level>
    <level label="b">
      <text>At least 1 month before the license expires, the Board shall send to the licensee a renewal notice that states:</text>
      <level label="1">
        <text>The date on which the current license expires;</text>
      </level>
      <level label="2">
        <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text>
      </level>
      <level label="3">
        <text>The amount of the renewal fee.</text>
      </level>
    </level>
    <level label="c">
      <text>The Board shall renew the license of a licensee who:</text>
      <level label="1">
        <text>Submits a renewal application on the form that the Board requires;</text>
      </level>
      <level label="2">
        <text>Is of good moral character;</text>
      </level>
      <level label="3">
        <text>Pays a renewal fee set by the Board;</text>
      </level>
      <level label="4">
        <text>Is otherwise entitled to be licensed;</text>
      </level>
      <level label="5">
        <text>Meets the continuing education requirements adopted by the Board; and</text>
      </level>
      <level label="6">
        <text>Provides evidence of biennial cardiopulmonary resuscitation certification.</text>
      </level>
    </level>
    <level label="d">
      <level label="1">
        <text>Beginning October 1, 2016, the Board shall require a criminal history records check in accordance with § 14–308.1 of this title for:</text>
        <level label="i">
          <text>Renewal applicants as determined by regulations adopted by the Board; and</text>
        </level>
        <level label="ii">
          <text>Each former licensee who files for reinstatement under § 14–5F–16(b) of this subtitle.</text>
        </level>
      </level>
      <level label="2">
        <text>On receipt of the criminal history record information of a licensee forwarded to the Board in accordance with § 14–308.1 of this title, in determining whether disciplinary action should be taken, based on the criminal history record information, against a licensee who renewed or reinstated a license, the Board shall consider:</text>
        <level label="i">
          <text>The age at which the crime was committed;</text>
        </level>
        <level label="ii">
          <text>The nature of the crime;</text>
        </level>
        <level label="iii">
          <text>The circumstances surrounding the crime;</text>
        </level>
        <level label="iv">
          <text>The length of time that has passed since the crime;</text>
        </level>
        <level label="v">
          <text>Subsequent work history;</text>
        </level>
        <level label="vi">
          <text>Employment and character references; and</text>
        </level>
        <level label="vii">
          <text>Other evidence that demonstrates whether the licensee poses a threat to the public health or safety.</text>
        </level>
      </level>
      <level label="3">
        <text>The Board may renew or reinstate a license only if the licensee or applicant attests that the licensee or applicant has submitted to a criminal history records check under § 14–308.1 of this title.</text>
      </level>
    </level>
    <level label="e">
      <text>A disciplinary panel may impose a civil penalty of up to $100 per continuing education credit in lieu of a sanction under § 14–5F–18 of this subtitle, for a first offense for failure of a licensee to obtain the continuing education credits required by the Board.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-15.1" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>A licensee shall notify the Board in writing of a change in name or address within 30 days after the change.</text>
    </level>
    <level label="b">
      <text>A licensee who fails to comply with subsection (a) of this section is subject to an administrative penalty of $100.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-16" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>The Board may place a licensee on inactive status if the licensee submits to the Board:</text>
        <level label="i">
          <text>An application for inactive status on the form required by the Board; and</text>
        </level>
        <level label="ii">
          <text>The inactive status fee set by the Board.</text>
        </level>
      </level>
      <level label="2">
        <text>The Board shall issue a license to a naturopathic doctor who is on inactive status if the individual is otherwise entitled to be licensed under this subtitle and submits to the Board:</text>
        <level label="i">
          <text>Satisfactory evidence of compliance with the requirements of § 14–308.1 of this title;</text>
        </level>
        <level label="ii">
          <text>Satisfactory evidence of compliance with the continuing education requirements the Board adopts for this purpose; and</text>
        </level>
        <level label="iii">
          <text>A reinstatement fee set by the Board.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <text>The Board shall reinstate the license of a naturopathic doctor who has failed to renew the license for any reason if the naturopathic doctor:</text>
      <level label="1">
        <text>Meets the renewal requirements of  § 14–5F–15 of this subtitle;</text>
      </level>
      <level label="2">
        <text>Pays to the Board a reinstatement fee set by the Board; and</text>
      </level>
      <level label="3">
        <text>Submits to the Board satisfactory evidence of compliance with the qualifications and requirements adopted by the Board under this subtitle for license reinstatements.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-17" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Unless the Board agrees to accept the surrender of a license, a licensed naturopathic doctor may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text>
    </level>
    <level label="b">
      <text>The Board may set conditions on its agreement with the licensee under investigation or against whom charges are pending to accept surrender of the license.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-18" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Subject to the hearing provisions of § 14–405 of this title, a disciplinary panel, on the affirmative vote of a majority of a quorum of the disciplinary panel, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license of any licensee if the applicant or licensee:</text>
      <level label="1">
        <text>Is habitually intoxicated, or is addicted to or habitually abuses any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or any drug without a valid prescription or indication, or provides professional services while under the influence of alcohol or using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article;</text>
      </level>
      <level label="2">
        <text>Is:</text>
        <level label="i">
          <text>Professionally incompetent;</text>
        </level>
        <level label="ii">
          <text>Physically incompetent; or</text>
        </level>
        <level label="iii">
          <text>Mentally incompetent;</text>
        </level>
      </level>
      <level label="3">
        <text>Has entered into a consent agreement with or has been assessed an administrative penalty by a licensing authority in another state;</text>
      </level>
      <level label="4">
        <text>Fraudulently or deceptively obtains, attempts to obtain, or uses a license for the applicant, the licensee, or another;</text>
      </level>
      <level label="5">
        <text>Is disciplined by a licensing, certifying, or disciplinary authority or is convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text>
      </level>
      <level label="6">
        <text>Uses false, deceptive, or misleading advertising;</text>
      </level>
      <level label="7">
        <text>Advertises, practices, or attempts to practice under a name other than the applicant’s or licensee’s own name;</text>
      </level>
      <level label="8">
        <text>Aids, assists, employs, or advises any unlicensed individual to practice naturopathic medicine in violation of this subtitle;</text>
      </level>
      <level label="9">
        <text>Willfully makes or files a false report or record in the practice of naturopathic medicine;</text>
      </level>
      <level label="10">
        <text>Willfully or negligently fails to file a report or record as required by law, willfully impedes or obstructs the filing or recording of a report, or induces another to fail to file or record a report;</text>
      </level>
      <level label="11">
        <text>Pays or receives any commission, bonus, kickback, or rebate, or engages in any split–fee arrangement in any form with a licensed physician, organization, agency, or other person, either directly or indirectly, for patients referred to health care providers;</text>
      </level>
      <level label="12">
        <text>Exercises influence within a patient–doctor relationship for purposes of engaging a patient in sexual activity;</text>
      </level>
      <level label="13">
        <text>Engages in sexual misconduct with a patient;</text>
      </level>
      <level label="14">
        <text>Fails to keep written medical records justifying the course of treatment of a patient;</text>
      </level>
      <level label="15">
        <text>Engages in an act or omission that does not meet generally accepted standards of practice of naturopathic medicine or of safe care of patients, whether or not actual injury to a patient is established;</text>
      </level>
      <level label="16">
        <text>Delegates professional responsibilities to an individual when the licensee delegating the responsibilities knows or has reason to know that the individual is not qualified by training, experience, or licensure to perform the responsibilities;</text>
      </level>
      <level label="17">
        <text>Promotes the sale of services, drugs, devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text>
      </level>
      <level label="18">
        <text>Breaches patient confidentiality;</text>
      </level>
      <level label="19">
        <text>Is guilty of:</text>
        <level label="i">
          <text>Immoral conduct in the practice of naturopathic medicine; or</text>
        </level>
        <level label="ii">
          <text>Unprofessional conduct in the practice of naturopathic medicine;</text>
        </level>
      </level>
      <level label="20">
        <text>Offers, undertakes, or agrees to cure or treat a disease by a secret method, treatment, or medicine;</text>
      </level>
      <level label="21">
        <text>Willfully fails to report suspected child abuse in violation of § 5–704 of the Family Law Article;</text>
      </level>
      <level label="22">
        <text>Sells, prescribes, gives away, or administers drugs for illegal or illegitimate purposes;</text>
      </level>
      <level label="23">
        <text>Denies or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text>
      </level>
      <level label="24">
        <text>Fails to cooperate with a lawful investigation of the Board;</text>
      </level>
      <level label="25">
        <text>Abandons a patient;</text>
      </level>
      <level label="26">
        <text>Violates any provision of this title or any regulation adopted by the Board; or</text>
      </level>
      <level label="27">
        <text>Fails to complete a criminal history records check under § 14–308.1 of this title.</text>
      </level>
    </level>
    <level label="b">
      <text>Except as otherwise provided in Title 10, Subtitle 2 of the State Government Article, before the Board or a disciplinary panel takes any action under subsection (a) of this section, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board or the disciplinary panel in accordance with the hearing requirements of § 14–405 of this title.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>On the filing of certified docket entries with the Board by the Office of the Attorney General, a disciplinary panel shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.</text>
      </level>
      <level label="2">
        <text>After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, a disciplinary panel shall order the revocation of a license on the certification by the Office of the Attorney General.</text>
      </level>
    </level>
    <level label="d">
      <level label="1">
        <text>If, after a hearing under § 14–405 of this title, a disciplinary panel finds that there are grounds under subsection (a) of this section to suspend or revoke a license, to reprimand a licensee, or to place a licensee on probation, the disciplinary panel may impose a fine subject to the Board’s regulations in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.</text>
      </level>
      <level label="2">
        <text>The Board shall pay any fines collected under this section into the General Fund.</text>
      </level>
    </level>
    <level label="e">
      <text>In addition to any sanction authorized under this section, a disciplinary panel may require a licensee to comply with specified terms and conditions determined by the disciplinary panel.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-19" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>Except as provided in subsections (b) and (d) of this section, each employer of a licensed naturopathic doctor shall submit to the Board a report if:</text>
        <level label="i">
          <text>The employer:</text>
          <level label="1">
            <text>Reduced, suspended, revoked, restricted, denied, conditioned, or did not renew the licensed naturopathic doctor’s clinical privileges, employment, or other ability to practice or treat patients;</text>
          </level>
          <level label="2">
            <text>Involuntarily terminated or restricted the licensed naturopathic doctor’s employment or staff membership; or</text>
          </level>
          <level label="3">
            <text>Asked the licensee to voluntarily resign because of the licensed naturopathic doctor’s conduct or while the licensee is being investigated; and</text>
          </level>
        </level>
        <level label="ii">
          <text>The action described under item (i) of this paragraph was taken:</text>
          <level label="1">
            <text>For reasons that might be grounds for disciplinary action under § 14–5F–18 of this subtitle;</text>
          </level>
          <level label="2">
            <text>Because the licensed naturopathic doctor may have engaged in an act that may constitute unprofessional conduct;</text>
          </level>
          <level label="3">
            <text>Because the licensed naturopathic doctor may be unable to practice naturopathy with reasonable skill and safety because of a physical or mental condition or professional incompetence; or</text>
          </level>
          <level label="4">
            <text>Because the licensed naturopathic doctor may have harmed or placed one or more patients or the public at unreasonable risk of harm by engaging in an act that creates an immediate or continuing danger.</text>
          </level>
        </level>
      </level>
      <level label="2">
        <text>A report required under paragraph (1) of this subsection shall include:</text>
        <level label="i">
          <text>The action taken by the employer;</text>
        </level>
        <level label="ii">
          <text>A detailed explanation of the reasons for the action, including references to specific patient medical records, if any, that informed the employer’s action; and</text>
        </level>
        <level label="iii">
          <text>The steps taken by the employer to investigate the conduct of the licensed naturopathic doctor.</text>
        </level>
      </level>
      <level label="3">
        <level label="i">
          <text>The Board may request from the employer additional information regarding an action described in paragraph (1) of this subsection that was taken by the employer.</text>
        </level>
        <level label="ii">
          <text>If an employer receives a request made under subparagraph (i) of this paragraph, the employer shall promptly provide the additional information.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <text>If an employer knows that the conduct of a licensed naturopathic doctor requires that the employer submit a report under subsection (a)(1) of this section because the licensed naturopathic doctor is impaired by alcohol or another substance, the employer is not required to report the naturopathic doctor to the Board if:</text>
      <level label="1">
        <text>The employer knows that the licensed naturopathic doctor is:</text>
        <level label="i">
          <text>In a substance use disorder treatment program that is accredited by The Joint Commission or is certified by the Department; or</text>
        </level>
        <level label="ii">
          <text>Under the care of a health care practitioner who is competent and capable of dealing with substance use disorders;</text>
        </level>
      </level>
      <level label="2">
        <text>The employer is able to verify that the licensed naturopathic doctor remains in the treatment program until successful discharge; and</text>
      </level>
      <level label="3">
        <text>The action or condition of the licensed naturopathic doctor has not caused injury to any person while the naturopathic doctor is practicing as a licensed naturopathic doctor.</text>
      </level>
    </level>
    <level label="c">
      <text>If the employer knows that the licensed physician is noncompliant with the substance use disorder treatment programs, the employer of the licensed naturopathic doctor shall report the licensed naturopathic doctor’s noncompliance to the Board.</text>
    </level>
    <level label="d">
      <level label="1">
        <text>The Board may extend the reporting under this section for good cause shown.</text>
      </level>
      <level label="2">
        <text>A person is not required under this section to make any report that would be in violation of any federal or State law, rule, or regulation concerning the confidentiality of substance use disorder patient records.</text>
      </level>
    </level>
    <level label="e">
      <text>The Board may enforce this section by subpoena.</text>
    </level>
    <level label="f">
      <text>Any person shall have the immunity from liability described under § 5–715(d) of the Courts Article for giving any of the information required by this section.</text>
    </level>
    <level label="g">
      <text>An employer required to make a report to the Board under this section shall submit the report within 10 days after the action requiring the report.</text>
    </level>
    <level label="h">
      <text>A report made under this section is privileged, not subject to inspection under the Public Information Act, and not subject to subpoena or discovery in any civil action other than a proceeding arising out of a hearing and decision of the Board or a disciplinary panel under this title.</text>
    </level>
    <level label="i">
      <level label="1">
        <text>A disciplinary panel may impose a civil penalty of up to $5,000 for knowingly failing to report under this section.</text>
      </level>
      <level label="2">
        <text>A disciplinary panel may impose a civil penalty of up to $5,000 per incident for a report made by an employer in bad faith.</text>
      </level>
      <level label="3">
        <text>The Board shall remit any penalty collected under this subsection into the General Fund of the State.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-20" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Following the filing of charges or notice of initial denial of a license application, the Board shall disclose the filing to the public on the Board’s website.</text>
    </level>
    <level label="b">
      <text>The Board shall create and maintain a public individual profile on each licensee that includes the following information:</text>
      <level label="1">
        <text>A summary of charges filed against the licensee, including a copy of the charging document, until a disciplinary panel has taken action under § 14–5F–18 of this subtitle based on the charges or has rescinded the charges;</text>
      </level>
      <level label="2">
        <text>A description of any disciplinary action taken by the Board or a disciplinary panel against the licensee within the most recent 10–year period that includes a copy of the public order;</text>
      </level>
      <level label="3">
        <text>A description in summary form of any final disciplinary action taken by a licensing board in any other state or jurisdiction against the licensee within the most recent 10–year period if the Board knows about the disciplinary action;</text>
      </level>
      <level label="4">
        <text>A description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude that is the basis for disciplinary action taken under § 14–5F–18(c) of this subtitle; and</text>
      </level>
      <level label="5">
        <text>The public address of the licensee.</text>
      </level>
    </level>
    <level label="c">
      <text>In addition to the information required under subsection (b) of this section, the Board shall include on each licensee’s profile a statement of information to be taken into consideration by a consumer when viewing a licensee’s profile, including a disclaimer stating that a charging document does not indicate a final finding of guilt by a disciplinary panel.</text>
    </level>
    <level label="d">
      <text>The Board:</text>
      <level label="1">
        <text>On receipt of a written request for a licensee’s profile from any person, shall forward a written copy of the profile to the person; and</text>
      </level>
      <level label="2">
        <text>Shall maintain a website that serves as a single point of entry where all licensee profile information is available to the public on the Internet.</text>
      </level>
    </level>
    <level label="e">
      <text>The Board shall provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee’s profile.</text>
    </level>
    <level label="f">
      <text>The Board shall include information relating to charges filed against a licensee by a disciplinary panel and any final disciplinary action taken by a disciplinary panel against a licensee in the licensee’s profile within 10 days after the charges are filed or the action becomes final.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-21" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>The Board shall give notice and hold a hearing in accordance with the Administrative Procedure Act.</text>
    </level>
    <level label="b">
      <text>The individual may be represented at the hearing by counsel.</text>
    </level>
    <level label="c">
      <text>Over the signature of an officer or the administrator of the Board, the Board or a disciplinary panel may issue subpoenas and administer oaths in connection with any investigation under this subtitle and any hearings or proceedings before the Board or a disciplinary panel.</text>
    </level>
    <level label="d">
      <text>If, without lawful excuse, a person disobeys a subpoena from the Board or a disciplinary panel or an order by the Board or a disciplinary panel to take an oath or to testify or answer a question, then, on petition of the Board, a court of competent jurisdiction may punish the person as for contempt of court.</text>
    </level>
    <level label="e">
      <text>If, after due notice, the individual against whom the action is contemplated fails or refuses to appear, the Board or a disciplinary panel may hear and determine the matter.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-22" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>If the Board or a disciplinary panel finds that there are grounds for action under § 14–5F–18 of this subtitle, the Board or the disciplinary panel shall pass an order in accordance with the Administrative Procedure Act.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-23" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <level label="1">
        <text>Any person aggrieved by a final decision of the Board or a disciplinary panel under this subtitle in a contested case, as defined in the Administrative Procedure Act, may take a direct judicial appeal.</text>
      </level>
      <level label="2">
        <text>The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.</text>
      </level>
    </level>
    <level label="b">
      <text>An order of the Board or a disciplinary panel may not be stayed pending judicial review.</text>
    </level>
    <level label="c">
      <text>The Board may appeal from any decision that reverses or modifies an order of the Board or a disciplinary panel.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-24" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Subject to subsection (c) of this section, if the Board has revoked or suspended the license of a licensee, the Board may not reinstate the license until the Board is satisfied that the individual:</text>
      <level label="1">
        <text>Has complied with all the terms and conditions in the final order; and</text>
      </level>
      <level label="2">
        <text>Is capable of safely engaging in the practice of naturopathic medicine.</text>
      </level>
    </level>
    <level label="b">
      <text>The Board may not reinstate the license of an individual whose license was revoked by the Board within 6 months after the date of the revocation.</text>
    </level>
    <level label="c">
      <text>A disciplinary panel may not reinstate a surrendered or revoked license that has been surrendered or revoked for a period of more than 1 year unless the licensee:</text>
      <level label="1">
        <text>Meets the requirements for reinstatement as established under this title; and</text>
      </level>
      <level label="2">
        <text>Completes a criminal history records check in accordance with § 14–308.1 of this title.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-25" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>A disciplinary panel may issue a cease and desist order for:</text>
      <level label="1">
        <text>Practicing naturopathic medicine without a license or with an unauthorized person; or</text>
      </level>
      <level label="2">
        <text>Supervising or aiding an unauthorized person in the practice of naturopathic medicine.</text>
      </level>
    </level>
    <level label="b">
      <text>Except as otherwise provided in this subtitle, a licensed physician may not employ an individual practicing naturopathic medicine without a license or without a collaboration and consultation agreement.</text>
    </level>
    <level label="c">
      <text>Except as otherwise provided in this subtitle, an employer may not employ an individual practicing naturopathic medicine without a license or without a collaboration and consultation agreement.</text>
    </level>
    <level label="d">
      <text>A disciplinary panel may impose a civil penalty of up to $5,000 for a violation of this section.</text>
    </level>
    <level label="e">
      <text>The Board shall remit any penalty collected under this section into the General Fund of the State.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-26" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>A licensed naturopathic doctor shall follow any federal, State, or local law that governs:</text>
    <level label="1">
      <text>The control of contagious and infectious diseases; and</text>
    </level>
    <level label="2">
      <text>The reporting of births and deaths.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-27" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>A licensed naturopathic doctor may receive a fee for professional consultation services.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-28" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>If a naturopathic doctor is engaged in the private practice of naturopathic medicine in the State, the naturopathic doctor shall display the notice developed under § 1–207 of this article conspicuously in each office where the naturopathic doctor is engaged in practice.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-29" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Except as otherwise provided in this subtitle, an individual may not practice, attempt to practice, or offer to practice naturopathic medicine in this State without a license.</text>
    </level>
    <level label="b">
      <text>An individual who violates subsection (a) of this section or § 14–5F–30 of this subtitle is guilty of a felony and on conviction is subject to a fine not exceeding $10,000 or imprisonment not exceeding 5 years or both.</text>
    </level>
    <level label="c">
      <text>Any individual who violates subsection (a) of this section or § 14–5F–30 of this subtitle is subject to a civil fine of not more than $50,000 to be levied by a disciplinary panel.</text>
    </level>
    <level label="d">
      <text>The Board shall pay any penalty collected under this section into the Board of Physicians Fund.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-30" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <level label="a">
      <text>Unless an individual is licensed to practice naturopathic medicine, the individual may not:</text>
      <level label="1">
        <text>Represent to the public by title, by description of services, methods, or procedures, or otherwise, that the individual is licensed by the Board to practice naturopathic medicine;</text>
      </level>
      <level label="2">
        <text>Use the title “doctor of naturopathic medicine”, “doctor of naturopathy”, “naturopathic doctor”, or “naturopath”; or</text>
      </level>
      <level label="3">
        <text>Use the initials “N.D.”, “ND”, “NMD”, or “N.M.D.” after the name of the individual.</text>
      </level>
    </level>
    <level label="b">
      <text>An individual licensed to practice naturopathic medicine in the State may not use the title “physician”.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-31" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>This  subtitle may be cited as the Maryland Naturopathic Medicine Act.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="14-5F-32" title_number="14" title_name="Physicians" subtitle_number="5F" subtitle_name="Naturopathic Doctors">
    <text>Subject to the evaluation and reestablishment provisions of the Program Evaluation Act, this subtitle and all rules and regulations adopted under this subtitle shall terminate and be of no effect after July 1, 2030.</text>
  </section>
</subtitle>